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Theoretical model demonstrates state-transition vulnerability during adolescence in schizophrenia, indicating adaptive myelination failure drives cortical desynchronization.
Why does schizophrenia aggressively cluster around specific developmental windows like late adolescence? Rejecting single-cause neurochemical paradigms, this paper applies the framework of Terrain Fragility—a state of compressed adaptive reserve where networks function normally under low demand but collapse catastrophically during simultaneous cross-system remodeling. The model treats adaptive myelination constraints and axonal conduction velocity dispersion as the key structural bridges translating sub-cellular terrain distress into macro-scale cortical neural phase desynchronization, integrating sleep, circadian, and endocrine data.
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Jacqueline J. Horsford (2026) studied this question.
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